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Prevention and Control of Communicable Diseases - Missouri ...

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TICK-BORNE DISEASE PROVIDER<br />

DIAGNOSIS (CONTINUED)<br />

July 2011<br />

Rashes may not be present or may be delayed. Blood tests are available but may<br />

not be specific. The Centers for Disease <strong>Control</strong> <strong>and</strong> <strong>Prevention</strong> recommends that<br />

confirmation testing be done in addition to the screening test to ensure more<br />

accurate results.<br />

TREATMENT Each disease can be treated with antibiotics. Treatment works best if it is started<br />

early. Discuss treatment options with the healthcare provider.<br />

PREVENTION/CONTROL<br />

� Children should not h<strong>and</strong>le sick or dead animals, both domestic pets <strong>and</strong> wild animals.<br />

� Game meats should be cooked thoroughly.<br />

� Avoid tick-infested areas, especially from April through September.<br />

� Wear proper clothing when in endemic areas. Wear long pants, tuck pants into socks,<br />

wear a long sleeved shirt tucked into pants, <strong>and</strong> wear light-colored clothing so ticks are<br />

easier to see.<br />

� Check for ticks on clothing <strong>and</strong> entire body while outdoors <strong>and</strong> when returning<br />

indoors. Check pets for ticks before letting them indoors.<br />

� Remove ticks promptly. See http://www.cdc.gov/ticks/index.html. Always grasp the<br />

tick by the head or mouth parts <strong>and</strong> gently but steadily pull straight back. Squeezing<br />

the body may cause the tick to inject infected saliva or blood. Do not use petroleum<br />

jelly, nail polish, or burning matches to remove ticks.<br />

� Apply insect repellants with 20% - 50% DEET on skin <strong>and</strong> clothing.<br />

� Children 2 months <strong>and</strong> older, use a repellant with 30% DEET or less.<br />

For more information, call <strong>Missouri</strong> Department <strong>of</strong> Health <strong>and</strong> Senior Services (MDHSS) at 573-751-6113<br />

or 866-628-9891 (8-5 Monday thru Friday) or your local health department.<br />

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